74174 prior authorization | Blue Cross and Blue Shield of Montana
74174, Computed Tomographic Angiography Abdomen And Pelvis With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.
- Code
- 74174
- Description
- Computed Tomographic Angiography Abdomen And Pelvis With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 82 Original policy